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Gen
Print version ISSN 0016-3503On-line version ISSN 2477-975X
Abstract
CASTRO, Denny; BECERRA, Vanessa; SILVA, Olga and HERNANDEZ, Greliep. Esophagorespiratory Fistulas Endoscopic Management. Gen [online]. 2025, vol.79, n.3, pp.135-137. Epub July 11, 2025. ISSN 0016-3503. https://doi.org/10.61155/gen.v79i3.752.
Fistulas are abnormal communications between two epithelialized surfaces and require multidisciplinary management. Endoscopic treatment options include esophageal stent placement, endoclips, sealants or tissue adhesives, occlusive devices (ADS), and endoscopic suturing. This study aims to present our institutional experience using various endoscopic techniques for the treatment of esophagorespiratory fistulas.
Patients and Methods:
A retrospective analysis was conducted from January 2014 to December 2024, including patients diagnosed with esophageal fistulas. Procedures were performed using an Olympus flexible videoendoscope, argon plasma coagulation, biopsy forceps, endoclips of various sizes, and esophageal stents.
Results:
A total of nine patients were treated, with a mean age of 38 years. The leading cause of esophageal fistula was trauma, and the most employed endoscopic technique was endoclip placement.
Conclusions:
Endoscopic treatment of esophagorespiratory fistulas using stents and endoclips is a safe and effective alternative, associated with low morbidity and mortality.
Keywords : Fistula; esophagus; clips; stent.
